TYLER ROBERT HUMPHREY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

Title

First Name

TYLER

Middle

ROBERT

Last Name

HUMPHREY

Business Name

TYLER ROBERT HUMPHREY MD

Original Issue Date

04/03/2020

Effective Date

04/03/2020

Expiration Date

07/31/2023

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023